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Organization
ETMC FIRST PHYSICIANS CLINIC
Active
Organization
ETMC FIRST PHYSICIANS CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMBER ALLEN (MANAGEMENT SERVICE OPERATION)
(903) 596-3588
Entity
Organization
Contact information
Practice address
700 OLYMPIC PLAZA CIR STE 600, TYLER, TX 75701-1954
(903) 596-3844
Mailing address
700 OLYMPIC PLAZA CIR STE 600, TYLER, TX 75701-1954
(903) 596-3844
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
714451
TX
Other
Enumeration date
11/03/2010
Last updated
11/03/2010
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